Micaela M Lippert, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

333 State St Ste 104
Erie, PA 16507-1463

Phone

(724) 933-0300

NPI assigned

Jul 22, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1679181093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 STONEWOOD DR STE 151",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907376",
            "telephone_number": "724-933-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 STATE ST STE 104",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071463",
            "telephone_number": "724-933-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPERT",
        "first_name": "MICAELA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1093733933",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wexford",
            "affiliation": "N",
            "address_1": "333 State St Ste 104",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165071463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gay L Lipchik, PHD
• Robert Lipke
• Ruthann I Lipman, D.O.
• Sidney Philip Lipman, M.D.
• Lauren Ashley Lippert, LPC
• Miranda Lynn Lish, OT
• Anne-Marie Liszka
• Little Steps Physical Therapy LLC
• Margaret Livelsberger, RD
• Jonathan C Livengood

• Medical Physician Assistant in Erie, PA
• Providers in Erie, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.